Individual
JESUS RAFAEL RIVERA VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR 6618 KM 0.9 HECTOMETRO 1 BO MMOROVIS SUR, MOROVIS, PR 00687-0068
(787) 201-3130
Mailing address
CARRETERA 6618 KM 0.9 HECTOMETRO 1 BO MOROVIS SUR, MOROVIS, PR 00687
(787) 201-3130
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
98722
PR
174H00000X
Health Educator
—
—
251E00000X
Home Health Agency
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
09/30/2022
Last updated
10/10/2022
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